Provider Demographics
NPI:1780911107
Name:DR. CHAO & ASSOCIATES, PLLC
Entity type:Organization
Organization Name:DR. CHAO & ASSOCIATES, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:214-334-5524
Mailing Address - Street 1:6600 FEDERAL HALL ST
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-2348
Mailing Address - Country:US
Mailing Address - Phone:214-334-5524
Mailing Address - Fax:
Practice Address - Street 1:4909 W PARK BLVD
Practice Address - Street 2:SUITE 135
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-2311
Practice Address - Country:US
Practice Address - Phone:972-985-7916
Practice Address - Fax:972-985-7933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-05
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX05895TG152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A6015Medicare Oscar/Certification